重视脑小血管病的诊断与治疗  

Attach importance to the diagnosis and treatment of cerebral small vessel disease

作　　者：赵晨阳 何志义[1] ZHAO Chen-yang;HE Zhi-yi(Department of Neurology,the First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院神经内科,辽宁沈阳110001

出　　处：《中国实用内科杂志》2021年第7期561-563,共3页Chinese Journal of Practical Internal Medicine

基　　金：国家自然科学基金(81971125)。

摘　　要：脑小血管病(CSVD)是一组好发于老年人群,主要累及颅内小血管,出现各种临床表现的一类综合征,是导致卒中和认知障碍发生的主要原因,尚无统一的诊断金标准。文章就该病的发病机制、影像学特点、遗传学分类、诊断与治疗、与痴呆和焦虑抑郁的关系进行阐述,以期提高对脑小血管病的诊疗水平。Cerebral small vessel disease(CSVD)is a group of syndromes which mainly involves small intracranial vessels and presents with various clinical manifestations in the elderly population.This article reviews the pathogenesis,imaging characteristics,genetic classifications,diagnosis and treatment,and the relationship with dementia and anxiety and depression,with the aim of improving the diagnosis and treatment of CSVD.

关 键 词：脑小血管病 发病机制 影像学特点 遗传学分类 诊断 治疗 痴呆 认知障碍 焦虑 抑郁 

分 类 号：R743[医药卫生—神经病学与精神病学]